Neighborhood crime, disorder and substance use in the Caribbean context: Jamaica National Drug Use Prevalence Survey 2016

Autoři: Erica Ann Felker-Kantor aff001;  Colette Cunningham-Myrie aff002;  Lisa-Gaye Greene aff003;  Parris Lyew-Ayee aff003;  Uki Atkinson aff004;  Wendel Abel aff002;  Pernell Clarke aff005;  Simon G. Anderson aff006;  Katherine P. Theall aff001
Působiště autorů: Department of Global Community Health and Behavioral Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, United States of America aff001;  Department of Community Health and Psychiatry, University of the West Indies, Mona, Kingston, Jamaica aff002;  Mona GeoInformatics Institute, University of the West Indies, Mona, Kingston, Jamaica aff003;  National Council on Drug Abuse, Ministry of Health, Kingston, Jamaica aff004;  Organization of American States, Inter-American Drug Abuse Control Commission, Washington, District of Columbia, United States of America aff005;  The George Alleyne Chronic Disease Research Centre, Caribbean Institute of Health Research, University of the West Indies, Cave Hill, Barbados aff006
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0224516


The purpose of the study was to examine the role of objective and subjective measures of neighborhood crime and disorder on substance use among a nationally representative sample of 4525 Jamaicans aged 12–65 years. Log-Poisson models with generalized estimating equations were used to estimate relative risks (RR) and 95% confidence intervals (CI). A test of interaction was used to determine presence of effect modification by sex. Approximately 39% of the study population reported past-month alcohol use; 10% past-month tobacco use; and 15% past-month marijuana use. In fully adjusted models, past-month alcohol and tobacco use were associated with perceived neighborhood disorder (p<0.05). The likelihood of alcohol use was 1.12 (95%CI:1.04, 1.20) times greater among participants who perceived higher neighborhood disorder. The likelihood of tobacco use was 1.22 (95%CI: 1.01, 1.46) times greater among participants who perceived higher neighborhood disorder. A significant test for interaction in adjusted models (P<0.2) suggested that the associations between substance use and perceived neighborhood disorder varied by sex. Examination of stratified models indicated that the role of perceived neighborhood disorder on alcohol and tobacco consumption varied among females, but not males. Females who perceived higher levels of neighborhood disorder had an increased likelihood of past-month alcohol and tobacco use (RRa:1.25 95%CI:1,07, 1.45; RRa:1.73 95%CI: 1.10, 2.67). Objective neighborhood crime measures were not associated with alcohol, tobacco, or marijuana use. The study findings provide evidence for the importance of considering subjective and objective neighborhood measures when examining relations with health outcome and demonstrate that perceptions of context and contextual exposures are not uniform across populations within neighborhoods. Interventions focused on building community trust and social cohesion (e.g. neighborhood community watch groups) and greening of blighted or abandoned spaces may help increase the sense of safety and order, reducing stress and maladaptive coping such as substance use.

Klíčová slova:

Alcohol consumption – Behavioral and social aspects of health – Crime – Jamaica – Marijuana – Neighborhoods – Socioeconomic aspects of health – Violent crime


1. Room R, Babor T, Rehm J. Alcohol and public health. Lancet. 2005;365:519–30. doi: 10.1016/S0140-6736(05)17870-2 15705462

2. CDC. Alcohol-Related Disease IMPACT (ARDI). Atlanta, GA: Centers for Disease Control and Prevention.

3. Peacock A, Leung J, Larney S, Colledge S, Hickman M, Rehm J, et al. Global statistics on alcohol, tobacco and illicit drug use: 2017 status report. Addiction. 2018;113(10):1905–26. doi: 10.1111/add.14234 29749059

4. Schulte M, Hser Y. Substance use and associated health conditions throughout the lifespan. Public Health Rev. 2014;35(2).

5. Bryant KJ, Windle ME, West SG. The science of prevention: Methodological advances from alcohol and substance abuse research: American Psychological Association; 1997.

6. Nathan PE. Substance use disorders in the DSM-IV. J Abnorm Psychol. 1991;100(3):356. doi: 10.1037//0021-843x.100.3.356 1918614

7. Degenhardt L, Charlson F, Ferrari A, Santomauro D, Erskine H, Mantilla-Herrara A, et al. The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Psychiatry. 2018;5:987–1012. doi: 10.1016/S2215-0366(18)30337-7 30392731

8. Reitsma MB, Fullman N, Ng M, Salama JS, Abajobir A, Abate KH, et al. Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015. Lancet. 2017;13(389):1885–906.

9. Hawkins D, Lee Van Horn M, Arthur M. Community Variation in Risk and Protective Factors and Substance Use Outcomes. Prev Sci. 2004;5(4):213–20. doi: 10.1023/b:prev.0000045355.53137.45 15566047

10. Merline A, Patrick M, Schulenber J, Bachman J, Johnston L. Substance Use Among Adults 35 Years of Age: Prevalence, Adulthood, Predictors, and Impact of Adolescent Substance Use. Am J Public Health. 2004;94(96–102).

11. Nolen-Hoeksema S. Gender differences in risk factors and consequences for alcohol use and problems. Clin Psychol Rev. 2004;24(8):981–1010. doi: 10.1016/j.cpr.2004.08.003 15533281

12. Whitesell M, Bachand A, Peel J, Brown M. Familial, Social, and Individual Factors Contributing to Risk for Adolescent Substance Use. J Addict. 2013.

13. Patton GC, Coffey C, Lynskey MT, Reid S, Hemphill S, Carlin JB, et al. Trajectories of adolescent alcohol and cannabis use into young adulthood. Addiction. 2007;102(4):607–15. doi: 10.1111/j.1360-0443.2006.01728.x 17286642

14. Schulden J, Thomas Y, Compton W. Substance Abuse in the United States: Findings From Recent Epidemiological Studies. Curr Psychiatry Rep. 2009;11(5):353–9. doi: 10.1007/s11920-009-0053-6 19785975

15. Diez Roux AV, Mair C. Neighborhoods and health. Ann N Y Acad Sci. 2010;1186:125–45. doi: 10.1111/j.1749-6632.2009.05333.x 20201871

16. Ross C, Mirowsky J. Neighborhood Disadvantage, Disorder, and Health. J Health Soc Behav. 2001;42:258–76. 11668773

17. Latkin C, Curry A. Stressful neighborhoods and depression: a prospective study of the impact of neighborhood disorder. J Health Soc Behav. 2003:34–44. 12751309

18. Hill DT, Ross EC, Angel JR. Neighborhood Disorder, Psychophysiological Distress, and Health. J Health Soc Behav. 2005;46:170–86. doi: 10.1177/002214650504600204 16028456

19. Theall K, Scribner R, Cohen D, Blumenthal R, Schonlau M, Farley T. Social Capital and the Neighborhood Alcohol Environment. Health Place. 2009;15(323–332).

20. Fagan AA, Wright EM, Pinchevsky GM. Exposure to violence, substance use, and neighborhood context. Soc Sci Res. 2015;49(31):314–26.

21. Stockdale S, Wells K, Tang L, Belin T, Zhang L, Sherbourne C. The Importance of Social Context: Neighborhood Stressors, Stress-Buffering Mechanisms, and Alcohol, Drug, and Mental Health Disorders. Soc Sci Med. 2007;65(9):1867–81. doi: 10.1016/j.socscimed.2007.05.045 17614176

22. Tucker J, Pollard M, De la Haye K, Kennedy D, Green H. Neighborhood Characteristics and the Initiation of Marijuana Use and Binge Drinking. Drug Alcohol Depend. 2012;1(128(1–2)):83–9.

23. Bryden A, Roberts B, Petticrew M, McKee M. A systematic review of the influence of community level social factors on alcohol use. Health Place. 2013;21:70–85. doi: 10.1016/j.healthplace.2013.01.012 23454663

24. Galea S, Vlahov D. Social Determinants and the Health of Drug Users: Socioeconomic Status, Homelessness, and Incarceration. Public Health Rep. 2002;117(1).

25. Latkin C, Curry A, Hua W, Davey M. Direct and Indirect Associaitons of Neighborhood Disorder With Drug-Use and High-Risk Sexual Partners. Am J Prev Med. 2007;32(6 Suppl):S234–S41. doi: 10.1016/j.amepre.2007.02.023 17543716

26. Galea S, Ahern J, Tracy M, Vlahov D. Neighborhood Income and Income Distribution and the Use of Cigarettes, Alcohol, and Marijuana. Am J Prev Med. 2007;32(6 Suppl):S195–S202. doi: 10.1016/j.amepre.2007.04.003 17543711

27. Karriker-Jaffe K. Areas of disadvantage: A systematic review of effects of area-level socioeconomic status on substance use outcomes. Drug Alcohol Rev. 2011;30(1):84–95. doi: 10.1111/j.1465-3362.2010.00191.x 21219502

28. Pollack E, Cubbin C, Ahn D, Winleby M. Neighbourhood deprivation and alcohol consumption: does the availability of alcohol play a role? Int J Epidemiol. 2005;34:772–80. doi: 10.1093/ije/dyi026 15737966

29. French MT, McGeary KA, Chitwood DD, McCoy CB, Inciardi JA, McBride D. Chronic drug use and crime. Subst Abus. 2000;21(2):95–109. doi: 10.1080/08897070009511422 12466650

30. Harrison L, Gfroerer J. The intersection of drug use and criminal behavior: Results from the National Household Survey on Drug Abuse. Crime Delinq. 1992;38(4):422–43.

31. Diez Roux AV. Investigating Neighborhood and Area Effects on Health. Am J Public Health. 2001;91:1783–9. doi: 10.2105/ajph.91.11.1783 11684601

32. LeDoux J. Rethinking the emotional brain. Neuron. 2012;73(4):653–76. doi: 10.1016/j.neuron.2012.02.004 22365542

33. Mujahid M, Roux AD, Shen M, Gowda D, Sanchez B, Shea S, et al. Relation between neighborhood environments and obesity in the Multi-Ethnic Study of Atherosclerosis. Am J Epidemiol. 2008;167(11):1349–57. doi: 10.1093/aje/kwn047 18367469

34. Mujahid M, Roux AD, Morenoff J, Raghunathan T, Cooper R, Ni H, et al. Neighborhood characteristics and hypertension. Epidemiology. 2008:590–8. doi: 10.1097/EDE.0b013e3181772cb2 18480733

35. Messer LC, Kaufman JS, Dole N, Savitz DA, Laraia BA. Neighborhood crime, deprivation, and preterm birth. Ann Epidemiol. 2006;16(6):455–62. doi: 10.1016/j.annepidem.2005.08.006 16290179

36. Felker-Kantor E, Wallace M, Theall K. Living in violence: Neighborhood domestic violence and small for gestational age births. Health Place. 2017;46:130–6. doi: 10.1016/j.healthplace.2017.05.011 28527328

37. Burdette HL, Whitaker RC. A national study of neighborhood safety, outdoor play, television viewing, and obesity in preschool children. Pediatrics. 2005;116(3):657–62. doi: 10.1542/peds.2004-2443 16140705

38. Patterson F, Seravalli L, Hanlon A, Nelson DB. Neighborhood safety as a correlate of tobacco use in a sample of urban, pregnant women. Addict Behav. 2012;37(10):1132–7. doi: 10.1016/j.addbeh.2012.05.011 22688344

39. Jitnarin N, Heinrich K, Haddock C, Hughey J, Berkel L, Poston W. Neighborhood environment perceptions and the likelihood of smoking and alcohol use. Int J Environ Res Public Health. 2015;12(1):784–99. doi: 10.3390/ijerph120100784 25594781

40. Ganz ML. The relationship between external threats and smoking in central Harlem. Am J Public Health. 2000;90(3):367. doi: 10.2105/ajph.90.3.367 10705853

41. Andrews JO, Mueller M, Newman S, Magwood G, Ahluwalia J, White K, et al. The association of individual and neighborhood social cohesion, stressors, and crime on smoking status among African-American women in southeastern US subsidized housing neighborhoods. J Urban Health. 2014;91(6):1158–74. doi: 10.1007/s11524-014-9911-6 25316192

42. Ellaway A, Macintyre S. Are perceived neighbourhood problems associated with the likelihood of smoking? J Epidemiol Community Health. 2009;63(1):78–80. doi: 10.1136/jech.2007.068767 19088119

43. Shareck M, Ellaway A. Neighbourhood crime and smoking: the role of objective and perceived crime measures. BMC Public Health. 2011;11(1):930.

44. Shareck M, Ellaway A. Neighbourhood crime and smoking: the role of objective and perceived crime measures. BMC Public Health. 2011;11(930).

45. Theall K, Sterk C, Elifson K. Perceived neighborhood fear and drug use among young adults. Am J Health Behav. 2009;33(4):353–65. doi: 10.5993/ajhb.33.4.2 19182981

46. Kulis S, Marsiglia FF, Sicotte D, Nieri T. Neighborhood effects on youth substance use in a southwestern city. Sociol Perspect. 2007;50(2):273–301. doi: 10.1525/sop.2007.50.2.273 21339890

47. Ambrey CL, Fleming CM, Manning M. Perception or reality, what matters most when it comes to crime in your neighbourhood? Soc Indic Res. 2014;119(2):877–96.

48. Galaviz KI, Zytnick D, Kegler MC, Cunningham SA. Parental perception of neighborhood safety and children’s physical activity. J Phys Act Health. 2016;13(10):1110–6. doi: 10.1123/jpah.2015-0557 27254849

49. McEwen BS, Stellar E. Stress and the individual: mechanisms leading to disease. Arch Intern Med. 1993;153(18):2093–101. 8379800

50. Brynes H, Miller B, Morrison C, Wiebe D, Woychik M, Wiehe S. Association of environmental indicators with teen alcohol use and problem behavior: Teens observations vs objectively-measured indicators. Health Place. 2017;43:151–7. doi: 10.1016/j.healthplace.2016.12.004 28061392

51. Orstad S, McDonough M, Staple S, Altincekic C, Troped P. A Systematic Review of Agreement Between Perceived and Objective Neighborhood Environment Measures and Associations with Physical Activity Outcomes. Environ Behav. 2016;49(8):904–32.

52. Mason MJ. Attributing activity space as risky and safe: The social dimension to the meaning of place for urban adolescents. Health Place. 2010;16(5):926–33. doi: 10.1016/j.healthplace.2010.05.004 20537934

53. Boardman JD, Finch BK, Ellison CG, Williams DR, Jackson JS. Neighborhood disadvantage, stress, and drug use among adults. J Health Soc Behav. 2001;42(2):151–65. 11467250

54. Furr-Holden CDM, Lee MH, Milam AJ, Johnson RM, Lee K-S, Ialongo NS. The growth of neighborhood disorder and marijuana use among urban adolescents: a case for policy and environmental interventions. J Stud Alcohol Drugs. 2011;72(3):371–9. doi: 10.15288/jsad.2011.72.371 21513673

55. Lambert SF, Brown TL, Phillips CM, Ialongo NS. The relationship between perceptions of neighborhood characteristics and substance use among urban African American adolescents. Am J Community Psychol. 2004;34(3–4):205. doi: 10.1007/s10464-004-7415-3 15663207

56. Miles R. Neighborhood disorder and smoking: findings of a European urban survey. Soc Sci Med. 2006;63(9):2464–75. doi: 10.1016/j.socscimed.2006.06.011 16904800

57. Sampson RJ, Raudenbush SW, Earls F. Neighborhoods and violent crime: A multilevel study of collective efficacy. Science. 1997;277(5328):918–24. doi: 10.1126/science.277.5328.918 9252316

58. Baldock K, Paquet C, Howard N, Coffee N, Taylor A, Daniel M. Gender-specific associations between perceived and objective neighourhood crime and metabolic syndrome. PLoS One. 2018;13(7):e0201336. doi: 10.1371/journal.pone.0201336 30048521

59. Schafer JA, Hubener BM, Bynum TS. Fear of crime and criminal victimization: Gender-based contrasts. J Crim Justice. 2006;34(3):285–301.

60. Matheson FI, White HL, Moineddin R, Dunn JR, Glazier RH. Drinking in context: the influence of gender and neighbourhood deprivation on alcohol consumption. J Epidemiol Community Health. 2012;66(6):e4. doi: 10.1136/jech.2010.112441 21330461

61. Younger-Coleman N, Cumberbatch C, Campbell J, Ebanks C, Williams D, O’Meally V. 2016 National Drug Use Prevalence Survey. Jamaica: National Council on Drug Abuse and Organization of American States; 2016.

62. OAS. Report on Drug Use in the Americas, 2015. Washington, D.C.: Inter-American Observatory on Drugs (OID) 2015.

63. Kawachi I, Berkman L, editors. Neighborhoods and Health. Oxford: Oxford University Press Inc.; 2003.

64. Harriott A, Jones M. Crime and Violence in Jamaica. Inter-American Development Bank (IDB); 2016.

65. Clavel T. 2017 Homicide Rates in Latin America and the Carribbean 2018 [cited 2019 August 31]. Available from:

66. Messer LC, Kaufman JS, Dole N, Herring A, Laraia BA. Violent crime exposure classfication and adverse birth outcomes: a geographically-defined cohort study. Int J Health Geogr. 2006;5(22).

67. King T, Thornton L, Bentley R, Kavanagh A. The Use of Kernel Density Estimation to Examine Associations between Neighborhood Destination Intensity and Walking and Physical Activity. PLoS One. 2015;10(9):e0137402. doi: 10.1371/journal.pone.0137402 26355848

68. Hart T. Kernel density estimation and hotspot mapping: Examining the influence of interpolation method, grid cell size, and bandwidth on crime forecasting. Policing. 2014;37(2):305–23.

69. Aiken LS, West SG. Multiple Regression: Testing and Interpreting Interactions. London: SAGE Publications, Inc.; 1991.

70. Yelland LN, Salter AB, Ryan P. Performance of the modified Poisson regression approach for estimating relative risks from clustered prospective data. Am J Epidemiol. 2011;174(8):984–92. doi: 10.1093/aje/kwr183 21841157

71. Muelle M, Flouri E, Kokosi T. The role of the physical environment in adolescent mental health. Health Place. 2019;58:102153. doi: 10.1016/j.healthplace.2019.102153 31220796

72. Stafford M, Cummins S, Macintyre S, Ellaway A, Marmot M. Gender differences in the associations between health and neighbourhood environment. Soc Sci Med. 2005;60(8):1681–92. doi: 10.1016/j.socscimed.2004.08.028 15686801

73. Ellaway A, Macintyre S. Women in their place. Gender perceptions of neighbourhoods and health in the West of Scotland. In: Dyack I, vis Lewis N, McLafferty S, editors. Geographies of Women’s Health. London: Routeledge; 2001. p. 265–81.

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2019 Číslo 11